Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.06 / $234.51 / $763.96	Facility		$201.06	$234.51	$763.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $201.73 / $226.50	Professional		$156.34	$201.73	$226.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,433.71 / $1,485.99	Facility		$400.00	$1,433.71	$1,485.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.67 / $1,655.67 / $2,291.25	Professional		$1,655.67	$1,655.67	$2,291.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.18 / $299.30 / $512.44	Facility		$203.18	$299.30	$512.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.60 / $247.60 / $247.60	Professional		$247.60	$247.60	$247.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.24 / $306.00 / $443.72	Facility		$207.24	$306.00	$443.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $303.89	Professional		$300.00	$300.00	$303.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $294.91 / $355.05	Professional		$263.00	$294.91	$355.05